| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
609 |
599 |
$60K |
| V2020 |
Frames, purchases |
1,180 |
1,150 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
190 |
187 |
$23K |
| 92015 |
Determination of refractive state |
1,117 |
1,103 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
533 |
524 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,055 |
1,027 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
184 |
181 |
$5K |